[The dynamic self-regulating prosthesis. A new method for the treatment of hernias in the inguinal area: preliminary notes on 153 cases].
BACKGROUND
Good results have been obtained by using prosthesis in the treatment of inguinal hernia. However, there is still some uncertainty on "free tension" and "suture less" techniques, about traction, tension or torsion, wrinkle and dislocation and the consequences on the postoperative period. To resolve these problems a new procedure by using a new prosthesis, called PAD, by polypropylene (Prolene), is proposed; excellent results about recurrences, excluding every traction, torsion, wrinkle and dislocation and improved postoperative comfort, have been observed. The PAD is suitable in all inguinal hernias in males and is composed of two layers superposed and fixed to some structures of inguinal canal on one side only, opposite to the other, to allow movements of aponeurotic and muscular structures, of the inguinal region.


METHODS
The study has been carried out on 153 patients, males, non selected, having primary inguinal hernia, all subjected to PAD procedure and followed-up from 30 to 48 months.


CONCLUSIONS
The results show a remarkable reduction in use of analgesics by patients in the postoperative period due to a better comfort achieved. This procedure avoids the risk of a prosthesis placed under the transversalis fascia and is easily repeatable.
Valenti
G
G
Divisione di Chirurgia Generale, Ospedale San Pietro Fatebenefratelli, Roma.
Testa
A
A
Capuano
G
G
D000328:Adult; D000368:Aged; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods; D013526:Surgical Mesh; D013536:Suture Techniques
D011126:Polypropylenes
Protesi Autoregolantesi Dinamica (PAD). Una nuova metodica per il trattamento delle ernie della regione inguinale: note preliminari su 153 casi.